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Function Hearing Assessment - Babies Cheat Sheet by

Testing Hearing in Babes
assessment     children     hearing     healthcare


Testing and evaluating hearing problem on infants is difficult as they are unable to commun­icate fully with the tester. This Assessment is designed to detect hearing issue based on sounds and the child's reacti­ons­/re­spo­nses.

Items needed:

Squeaky toy
Empty milk carton or oatmeal box
Empty small glass jar containing two tables­poons of rice
Empty soda can with the pop top placed inside
Music on tape or CD
Empty coffee can
Metal spoon


Prior to completing a functional assess­ment, observe the child with the caregi­ver­/te­ach­er/­helper, specif­ically watching for respon­siv­eness to auditory and visual stimuli.
For admini­str­ation of the functional hearing assess­ment, position yourself approx­imately two to three feet behind the child. Hold the objects directly behind the child and out of his/her peripheral vision.
Ask the caregi­ver­/te­ach­er/­helper to engage the child in play.
Present the items listed on the assess­ment. Present each stimulus for 2-3 seconds duration.
Watch for the child to turn his/her head toward the sounds as they are presented. Ask the caregi­ver­/te­ach­er/­helper to watch for facial changes that may indicate an awareness of the sounds, even if the child does not respond by turning toward the stimuli.
Place a checkmark in the blank beside the items listed on the checklist to which the child responds.
If the status of the child’s functional hearing remains questi­onable after admini­str­ation of the screening, refer for a complete audiol­ogical assess­ment.

Does the Child:

Show awareness of enviro­nmental sounds (vacuum, blender, phone, etc.) per report of caretaker?
Show awareness of knocking at the door?
Show awareness of noisy toys (bell, rattle, squeaky toy, etc)?
Respond when name is called?
Show awareness of low frequency sounds (drum the bottom of a milk carton or oatmeal box with a pencil eraser)?
Show awareness of high frequency sounds (rice in a jar, pop top in an empty can)?
Imitate oral or enviro­nmental sounds?
Use some word endings?
Follow simple verbal direct­ions?
Listen to stories, music, or TV without diffic­ulty?
Speak using a normal loudness level?
Speak so most people can understand what is said?
Come to you when called from another room?
Present a startle response when presented with a loud noise such a hands clapping or a spoon banged on the bottom of a coffee can?


Did not pass. Recommend complete audiol­ogical evaluation
Satisfactorily passed the functional hearing screener

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